Deep-Brain Stimulation and Intensive Rehabilitation in a Patient with Parkinson Disease: A Case Report
Abstract
Patient: Male, 56-year-old Final Diagnosis: Parkinson disease Symptoms: Headache • instability • tremor Clinical Procedure: Deep brain stimulation Specialty: General and Internal Medicine • Neurology • Radiology • Rehabilitation Objective: Unusual setting of medical care Background Parkinson disease (PD) is a common neurodegenerative disease. Intensive rehabilitation programs improve motor and non-motor symptoms in people with PD. Quite recently, deep-brain stimulation (DBS) has become an established therapeutic tool for treating patients with a disease who have troublesome motor fluctuations and dyskinesias refractory to best medical therapy. Case Report A 56-year-old man affected by PD with motor complications was admitted to undergo deep-brain stimulation. After the operation, he was transferred to the Intensive Rehabilitation Department and received multidrug therapy. First, we tried to optimize the pharmacological therapy. To achieve this goal, we performed a physiatric evaluation with the device turned off. We set up an Individual Rehabilitation Project with active kinesitherapy for maintaining the strength and muscular resistance of the shoulder and pelvic girdle, upper limbs, and lower limbs, exercises to improve trunk stability and balance reactions, exercises to improve motor coordination and static and dynamic balance, gait training with gait pattern, training for climbing and descending stairs, and functional re-education. For the headache, we requested a…
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